| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $41.65 | $49.25 | $50.47 | |
Cigna
| Professional | $23.90 | $23.90 | $23.90 | |
Medica
| Facility | $25.00 | $25.00 | $42.50 | |
Medica
| Professional | $88.94 | $88.94 | $88.94 | |
United
| Professional | $88.94 | $88.94 | $88.94 |